Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,390.08 / $49,929.90 / $49,929.90	Facility		$22,390.08	$49,929.90	$49,929.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22,390.08 / $22,949.83 / $27,987.60	Professional		$22,390.08	$22,949.83	$27,987.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,558.77 / $6,460.19 / $6,700.57	Facility		$5,558.77	$6,460.19	$6,700.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,308.92 / $13,302.54 / $23,323.00	Professional		$2,308.92	$13,302.54	$23,323.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,287.76 / $4,764.59 / $23,789.46	Facility		$3,287.76	$4,764.59	$23,789.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,287.76 / $4,758.31 / $23,789.46	Professional		$3,287.76	$4,758.31	$23,789.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,526.35 / $22,669.96 / $27,987.60	Facility		$2,526.35	$22,669.96	$27,987.60
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,793.57 / $1,793.57 / $1,793.57	Professional		$1,793.57	$1,793.57	$1,793.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,526.35 / $22,669.96 / $27,987.60	Facility		$2,526.35	$22,669.96	$27,987.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $25,963.40 / $103,405.50	Professional		$23,323.00	$25,963.40	$103,405.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $84,109.06	Professional		$50.00	$70.00	$84,109.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,526.35 / $22,390.08 / $27,987.60	Facility		$2,526.35	$22,390.08	$27,987.60
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $1,793.57 / $1,793.57 / $1,793.57	Professional		$1,793.57	$1,793.57	$1,793.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,475.99 / $5,129.99 / $7,723.22	Professional		$3,475.99	$5,129.99	$7,723.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,789.46 / $23,789.46 / $121,142.10	Facility		$23,789.46	$23,789.46	$121,142.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23,789.46 / $29,666.86 / $103,405.50	Professional		$23,789.46	$29,666.86	$103,405.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,113.21 / $5,204.43 / $7,520.42	Professional		$4,113.21	$5,204.43	$7,520.42
United Facility/Professional Professional Modifier Low / Median / High Price $23,323.00 / $24,489.15 / $27,987.60	Professional		$23,323.00	$24,489.15	$27,987.60